| NPI | 1134226962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 242175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 149859) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-07 |